Images in clinical medicine | Volume 39, Article 110, 07 Jun 2021 | 10.11604/pamj.2021.39.110.30023

Newborn with massive right eye proptosis revealing quintessence cystic orbital teratoma

Rohan Kumar Singh, Gaurav Vedprakash Mishra

Corresponding author: Rohan Kumar Singh, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India

Received: 26 May 2021 - Accepted: 29 May 2021 - Published: 07 Jun 2021

Domain: Radiology,Oncology,Pediatric ophthalmology

Keywords: Orbital teratoma, ultrasonography, orbital mass, neonate

©Rohan Kumar Singh et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Rohan Kumar Singh et al. Newborn with massive right eye proptosis revealing quintessence cystic orbital teratoma. Pan African Medical Journal. 2021;39:110. [doi: 10.11604/pamj.2021.39.110.30023]

Available online at: https://www.panafrican-med-journal.com/content/article/39/110/full

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Images in clinical medicine

Newborn with massive right eye proptosis revealing quintessence cystic orbital teratoma

Newborn with massive right eye proptosis revealing quintessence cystic orbital teratoma

Rohan Kumar Singh1,&, Gaurav Vedprakash Mishra1

 

1Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India

 

 

&Corresponding author
Rohan Kumar Singh, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India

 

 

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A full-term 2-day-old female neonate weighing about 2.17 kilogram, born by normal delivery at 37 weeks of gestation was referred to the ophthalmology with a massive mass of the right eye. On clinical examination, there was severe proptosis of the right eye with a positive transillumination test with normal left eye. The orbital mass was hard in consistency with few soft areas and it was covering the right midface. The eyeball was pushed on anteroinferior side with severe conjunctival chemosis and corneal erosion due to exposure to keratopathy with absent papillary reflex. For further routine investigation the baby was referred to the Department of Radiology for a B-scan ultrasound. On ultrasound, multiple anechoic cystic areas were seen anterior to globe pushing it anteroinferior, the hetero-echoic lesion was seen filling right eyeball and lesion was involving ocular muscles.

 

 

Figure 1: A) severe right eye proptosis with eyeball pushed out (red arrow); heterogeneous lesion with multiple anechoic cystic areas (red arrow); B) ultrasound images; C) heterogeneous well-defined lesion (red arrow), globe is pushed anteriorly (green arrow)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Newborn with massive right eye proptosis revealing quintessence cystic orbital teratoma

Images in clinical medicine

Newborn with massive right eye proptosis revealing quintessence cystic orbital teratoma

Images in clinical medicine

Newborn with massive right eye proptosis revealing quintessence cystic orbital teratoma

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Orbital teratoma

Ultrasonography

Orbital mass

Neonate

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